Andrew T. Schilling

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Etwa ein Viertel aller septischen Patienten entwickelt eine septische Enzephalopathie, die mit einer erhöhten Letalität verbunden ist.Die Symptome,u.a.Agitation,Verwirrtheit, Desorientiertheit und Stupor bis hin zum Koma,können oft früh im Verlauf einer Sepsis auftreten. Die Hypotension gilt als ein Prädiktor der septischen Enzephalopathie. Als weitere(More)
The staging of bladder carcinoma is most important for treatment and prognosis. Transurethral ultrasound scanning was done with a rotating 6 MHz. transducer interchangeable with the optic of a 24F cystoscope. Intravesical ultrasound tomography and computerized tomography were used to treat 28 patients with bladder carcinoma. The correlation between(More)
23% of all septic patients develop septic encephalopathy which is associated with an increased mortality rate. Symptoms such as agitation, confusion and disorientation ranging from stupor to coma often develop in early sepsis. Severe hypotension is significantly associated with the development of septic encephalopathy. Several other factors which may play a(More)
The high mortality from septic shock in urologically ill patients can only be diminished by early diagnosis and treatment of the sepsis. However, there is no defined, steady sign from which the precise diagnosis septic shock can be established. Therefore the critical patient has to be controlled by a system that covers numerous signs that contribute to the(More)
The distribution pattern of renal organic osmolytes in surgically explanted human kidneys was investigated and compared with that of untreated Sprague-Dawley rats (Uosmo = 1186 mosmol/kg H2O). Sorbitol, myo-inositol, glycerophosphorylcholine and betaine were measured by liquid chromatography (HPLC) in homogenates of five different kidney zones from the(More)
The pharmacokinetics of sulbactam, a new beta-lactamase inhibitor, and ampicillin were investigated in 9 healthy volunteers and 125 patients. The two drugs were administered intravenously in combination (Unacid). Each subject received 1 g sulbactam and 2 g ampicillin. The two drugs showed a similar pharmacokinetic profile in humans. Relevant pharmacokinetic(More)
Can we use randomized field experiments to understand if and how persuasion efforts by campaigns work? To answer this question, we analyze a field experiment conducted during the 2008 presidential election in which 56,000 registered voters were assigned to persuasion in person, by phone, and/or by mail. We find persuasive appeals by canvassers had two(More)
The further development of endoscopic instruments has made neodymium-YAG laser irradiation of ureteral tumors possible. To date a total of 13 ureteral tumors in 10 patients have been photocoagulated. Over a mean follow-up period of 23 months, only 1 heterotopic recurrence was found after 14 months. In view of the results achieved so far, nephroureterectomy(More)
Since 1987 we have changed our surgical approach to radical cystectomy and ileal neobladder in order to maintain erectile function and urinary continence. The routine diagnostic work-up includes a staging transurethral resection of the prostate in order not to miss any ductal involvement. The selective cystovesiculectomy is performed by cutting through the(More)